Individual provider Active NPI

Elizabeth Smith Klingler, M ED, CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1518419209
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005545 Issued in GA
Practice address
2546 Echo Dr NE
Atlanta, GA 30345-3529
Phone
(404) 376-1025
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005545 GA Primary
Speech-Language Pathologist 235Z00000X SP2612 ME

Addresses

Primary practice location

2546 Echo Dr NE
Atlanta, GA 30345-3529

Mailing address

2546 Echo Dr NE
Atlanta, GA 30345-3529
Phone (404) 376-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SLP005545GAMDSpeech-Language Pathologist
SP2612MEMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1518419209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 ECHO DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453529",
            "telephone_number": "404-376-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 ECHO DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453529",
            "telephone_number": "404-376-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGLER",
        "first_name": "ELIZABETH",
        "middle_name": "SMITH",
        "credential": "M ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005545",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.